| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,182 |
4,030 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,925 |
3,705 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,778 |
1,740 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,716 |
1,694 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,760 |
1,637 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,037 |
1,021 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
745 |
727 |
$30K |
| 90698 |
|
469 |
468 |
$18K |
| 99215 |
Prolong outpt/office vis |
169 |
160 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$12K |
| 90700 |
|
455 |
449 |
$10K |
| 90670 |
|
1,148 |
1,141 |
$8K |
| 90686 |
|
717 |
715 |
$5K |
| 90649 |
|
367 |
357 |
$2K |
| 90715 |
|
96 |
95 |
$2K |
| 99173 |
|
662 |
648 |
$2K |
| 90734 |
|
270 |
261 |
$2K |
| 90633 |
|
218 |
211 |
$1K |
| 90713 |
|
160 |
156 |
$1K |
| 99072 |
|
174 |
161 |
$1K |
| 90710 |
|
42 |
42 |
$1K |
| 90744 |
|
130 |
128 |
$996.78 |
| 86580 |
|
89 |
89 |
$868.83 |
| 90620 |
|
168 |
156 |
$853.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
31 |
$577.34 |
| 90707 |
|
26 |
26 |
$449.50 |
| 90716 |
|
25 |
25 |
$186.62 |
| 90648 |
|
28 |
28 |
$170.35 |
| 90685 |
|
15 |
15 |
$88.17 |